| NPI | 1326576141 |
|---|---|
| Former Name | HEATHER K THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI CAADC-D) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-09-10 |